Provider Demographics
NPI:1588635650
Name:MORSE, LINDA S (DO)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:S
Last Name:MORSE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1481 W 10TH ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202-2803
Mailing Address - Country:US
Mailing Address - Phone:812-336-5723
Mailing Address - Fax:317-988-5509
Practice Address - Street 1:1481 W 10TH ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-2803
Practice Address - Country:US
Practice Address - Phone:812-336-5723
Practice Address - Fax:317-988-5509
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-27
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN02000784A207QG0300X
FLOS6786207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN201362420Medicaid
FL377143100Medicaid
FL377143100Medicaid
IN201362420Medicaid
FL80991YMedicare PIN